A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Notify the facility's risk management team.

Assess the client for a change in condition.

Place an incident report in the client's electronic medical record.

Administer an antidote before notifying the provider.

Answer and Explanation

The Correct Answer is B

A.   While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B.   The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C.   Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D.   Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.

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Correct Answer is B

Explanation

A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.

C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.

A. Leave a transfer belt in place until the client returns from radiology. B. Lower the footplates before transferring the client from the bed. C. Back the wheelchair into the elevator. D. Position the client so their weight is shifted forward

Correct Answer is B

Explanation

A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Lowering the footplates before transferring the client from the bed helps to prevent injury to the client's feet and legs during the transfer.
C. Backing the wheelchair into the elevator is not necessary, as long as there is enough space to maneuver the wheelchair inside.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.

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A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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